| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $92.65 | $92.65 | $117.25 | |
BCBS
| Professional | $113.00 | $151.19 | $218.45 | |
Cigna
| Facility | $111.50 | $111.50 | $143.47 | |
Cigna
| Professional | $94.78 | $111.50 | $143.12 | |
Medcost
| Facility | $75.15 | $99.16 | $223.84 | |
Medcost
| Professional | $158.28 | $158.28 | $158.28 | |
Molina
| Professional | $7.33 | $60.98 | $108.41 | |
United
| Professional | $60.54 | $86.91 | $126.62 |